Head-to-head evidence

risankizumab vs tildrakizumab

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Psoriasis

Shared mechanism: IL-23 p19 · full Psoriasis pipeline

risankizumab · Skyrizi

Marketed by AbbVie

Approved in Psoriasismonoclonal antibody
Reliable signal

NCT02684370 · Phase 3 · completed

This randomized, triple-blind, placebo- and active-controlled trial used validated skin-clearance measures as its primary endpoints, and risankizumab achieved a highly statistically significant improvement over placebo on both: 75.3% vs 4.9% achieving PASI90, and 87.8% vs 7.8% achieving clear-or-almost-clear skin at Week 16.

Next expected readout: April 2028 · NCT04862286 (registry estimate)

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tildrakizumab · Ilumya

Marketed by Sun Pharmaceutical Industries

Approved in Psoriasismonoclonal antibody
Reliable signal

NCT01729754 · Phase 3 · completed

This was a large, randomized, quadruple-blind, placebo- and active-controlled Phase 3 trial (N=1,090) in moderate-to-severe plaque psoriasis. The primary efficacy endpoints, PASI-75 and PGA clear/minimal at Week 12, were both statistically significant in favor of tildrakizumab 200 mg and 100 mg compared with placebo (p<0.001). The strong design and positive primary results provide high-quality evidence of treatment benefit.

Next expected readout: September 2028 · NCT05390515 (registry estimate)

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Psoriatic Arthritis

Shared mechanism: IL-23 p19 · full Psoriatic Arthritis pipeline

risankizumab · Skyrizi

Marketed by AbbVie

Approved in Psoriatic Arthritismonoclonal antibody
not yet graded

No graded featured trial for this indication yet; the grade above reflects that absence, not a judgment.

Next expected readout: December 2027 · NCT06865105 (registry estimate)

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tildrakizumab · Ilumya

Marketed by Sun Pharmaceutical Industries

Phase 3 in Psoriatic Arthritismonoclonal antibody
Partial signal

NCT04314544 · Phase 3 · completed

The study randomized 508 participants to tildrakizumab or placebo, with outcome assessors masked, and used the clinical ACR20 response as its primary endpoint. However, no results are posted, so whether the primary endpoint was met or missed is unknown.

Next expected readout: December 2028 · NCT04991116 (registry estimate)

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: risankizumab's landscape · tildrakizumab's landscape